{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T17:15:42Z","timestamp":1779383742499,"version":"3.53.1"},"reference-count":48,"publisher":"Academy of Managed Care Pharmacy","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMCP"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.18553\/jmcp.2026.32.6.736","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:31:41Z","timestamp":1779381101000},"page":"736-747","source":"Crossref","is-referenced-by-count":0,"title":["Machine learning evaluation of racial and ethnic inclusion under alternative cost-based approaches to Medicare Medication Therapy Management eligibility"],"prefix":"10.18553","volume":"32","author":[{"given":"Chi Chun Steve","family":"Tsang","sequence":"first","affiliation":[{"name":"Department of Clinical Pharmacy and Translational Science, University of Tennessee Health Science Center College of Pharmacy, Memphis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Genetics, Genomics, and Informatics, University of Tennessee Health Science Center College of Medicine, Memphis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William C.","family":"Cushman","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, University of Tennessee Health Science Center College of Medicine, Memphis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junling","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Clinical Pharmacy and Translational Science, University of Tennessee Health Science Center College of Pharmacy, Memphis"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7818","reference":[{"issue":"18","key":"r1","first-page":"4193","volume":"70","author":"Centers for Medicare &amp; Medicaid Services (CMS)","year":"2005","journal-title":"Fed Regist"},{"issue":"7","key":"r2","first-page":"1917","volume":"79","author":"Centers for Medicare and Medicaid Services","year":"2014","journal-title":"Fed Regist"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2010.01118.x"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1080\/03007995.2022.2103962"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1093\/jphsr\/rmad010"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2020.26.11.1468"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2020.02.008"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-015-0101-3"},{"key":"r9","unstructured":"Centers for Medicare and Medicaid Services. Part D enhanced medication therapy management model. April 26, 2022. Accessed October 16, 2025. https:\/\/innovation.cms.gov\/innovation-models\/enhancedmtm"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.7326\/M18-1990"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1126\/science.aax2342"},{"key":"r12","unstructured":"Research Data Assistance Center. Find the CMS data file you need. 2025. Accessed October 16, 2025. https:\/\/resdac.org\/cms-data"},{"key":"r13","unstructured":"Health Resources and Services Administration. Area Health Resources Files. November 8, 2024. Accessed October 16, 2025. https:\/\/data.hrsa.gov\/topics\/health-workforce\/ahrf"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001216"},{"key":"r15","unstructured":"Research Data Assistance Center. How to identify hospital claims for emergency room visit in the Medicare claims data. July 30, 2015. Accessed October 16, 2025. https:\/\/resdac.org\/articles\/how-identify-hospital-claims-emergency-room-visits-medicare-claims-data"},{"issue":"6","key":"r16","first-page":"1273","volume":"34","author":"Gelberg L","year":"2000","journal-title":"Health Serv Res"},{"key":"r17","unstructured":"Centers for Medicare & Medicaid Services. Medicare managed care manual: chapter 7-risk adjustment. June 7, 2013. Accessed October 16, 2025. https:\/\/www.cms.gov\/regulations-and-guidance\/guidance\/manuals\/downloads\/mc86c07.pdf"},{"key":"r18","unstructured":"Centers for Medicare & Medicaid Services. ICD-10-CM\/PCS MS-DRG v34.0 Definitions Manual. Accessed October 16, 2025. https:\/\/www.cms.gov\/icd10m\/version34-fullcode-cms\/fullcode_cms\/P0001.html"},{"key":"r19","unstructured":"Agency for Healthcare Research and Quality. Clinical Classifications Software Refined (CCSR). November 19, 2025. Accessed October 16, 2025. https:\/\/hcup-us.ahrq.gov\/toolssoftware\/ccsr\/ccs_refined.jsp"},{"key":"r20","unstructured":"American Academy of Professional Coders. What Is HCC Coding? January 20, 2024. Accessed October 16, 2025. https:\/\/www.aapc.com\/resources\/what-is-hierarchical-condition-category?srsltid=AfmBOorbo3gwnZhWmwhsoBhBwnjm7eaMO2_KrqFwzOoxrsYgdE4mRpxJ"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-016-0315-z"},{"issue":"2","key":"r22","first-page":"qxaf010","volume":"3","author":"Poghosyan L","year":"2025","journal-title":"Health Aff Sch"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2018.09.007"},{"key":"r24","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2022.00460"},{"key":"r25","unstructured":"Medicare Payment Advisory Commission. Report to the congress: Medicare and the health care delivery system. June 15, 2023. Accessed October 16, 2025. https:\/\/www.medpac.gov\/document\/june-2023-report-to-the-congress-medicare-and-the-health-care-delivery-system\/"},{"key":"r26","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05426-4"},{"key":"r27","unstructured":"Centers for Medicare & Medicaid Services. The CMS framework for health equity 2022\u20132032. 2022. Accessed October 16, 2025. https:\/\/www.cms.gov\/files\/document\/cms-framework-health-equity.pdf"},{"key":"r28","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.25827"},{"key":"r29","doi-asserted-by":"publisher","DOI":"10.1038\/s41551-023-01056-8"},{"key":"r30","doi-asserted-by":"publisher","DOI":"10.1007\/s13347-017-0279-x"},{"key":"r31","doi-asserted-by":"publisher","DOI":"10.1016\/S2589-7500(21)00208-9"},{"key":"r32","doi-asserted-by":"publisher","DOI":"10.1016\/j.ebiom.2022.104250"},{"key":"r33","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.15927"},{"key":"r34","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofz225"},{"key":"r35","unstructured":"Ashman JJ, Schappert SM, Santo L. Emergency Department Visits Among Adults Aged 60 and Over: United States, 2014\u20132017. National Center for Health Statistics. June 2020. Accessed October 16, 2025. https:\/\/www.cdc.gov\/nchs\/data\/databriefs\/db367-h.pdf"},{"key":"r36","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.32862"},{"key":"r37","unstructured":"McDermott KW, Elixhauser A, Sun R. Trends in hospital inpatient stays in the United States, 2005-2014. Agency for Healthcare Research and Quality. June 2017. Accessed October 16, 2025. https:\/\/hcup-us.ahrq.gov\/reports\/statbriefs\/sb225-Inpatient-US-Stays-Trends.pdf"},{"issue":"8","key":"r38","first-page":"e68066","volume":"16","author":"Aalam AA","year":"2024","journal-title":"Cureus"},{"key":"r39","unstructured":"Schurrer J, O\u2019Malley A, Wilson C, McCall N, Jain N. Evaluation of the diffusion and impact of the Chronic Care Management (CCM) services. Mathematica Policy Research. November 2, 2017. Accessed October 16, 2025. https:\/\/www.spacinternational.com\/pdf\/ChronicCareManagement-FinalEvalReport_1_25_18.pdf"},{"key":"r40","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.5118"},{"key":"r41","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-022-08326-2"},{"key":"r42","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000010691"},{"key":"r43","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.17300"},{"key":"r44","doi-asserted-by":"publisher","DOI":"10.1080\/13696998.2024.2342210"},{"key":"r45","doi-asserted-by":"publisher","DOI":"10.1097\/JAC.0000000000000438"},{"key":"r46","doi-asserted-by":"publisher","DOI":"10.1177\/10775587231197248"},{"key":"r47","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-061375"},{"key":"r48","unstructured":"Munson JC, Morden NE, Goodman DC, Valle LF, Wennberg JE. The Dartmouth Atlas of Medicare Prescription Drug Use. A Report of the Dartmouth Atlas Project. The Dartmouth Institute for Health Policy and Clinical Practice. October 15, 2013. Accessed February 24, 2026. https:\/\/data.dartmouthatlas.org\/downloads\/reports\/Prescription_Drug_Atlas_101513.pdf"}],"container-title":["Journal of Managed Care &amp; Specialty Pharmacy"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:31:49Z","timestamp":1779381109000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jmcp.org\/doi\/10.18553\/jmcp.2026.32.6.736"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":48,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.18553\/jmcp.2026.32.6.736"],"URL":"https:\/\/doi.org\/10.18553\/jmcp.2026.32.6.736","relation":{},"ISSN":["2376-0540","2376-1032"],"issn-type":[{"value":"2376-0540","type":"print"},{"value":"2376-1032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]}}}